Evergreen Life Care Homes

Assisted Living in Fresno

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Evergreen Life Care Homes

Assisted Living in Fresno

CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Overview of Evergreen Life Care Homes

Evergreen Life Care Homes is a highly reliable senior care provider boasting three exceptional residential homes: Northwest Villa, Château Jesadean, and Evergreen Court. Offering a range of services, including assisted living, memory care, palliative care, short-term stays, hospice care, diabetes care, and more, their commitment is to ensure seniors receive top-notch care and attention.

Located in Fresno, California, their residential homes provide not only comprehensive services but also modern amenities, creating a comfortable and vibrant environment. With a hands-on management approach, Evergreen Life Care Homes stands out for its professional team that treats residents like family. The homes offer a smooth transition for residents and their families, fostering a sense of community, warmth, and an ideal and cherished residence to spend the golden years in.

(408) 483-0196

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5 ▼ 1.6 California average: 3.6/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
2/5 ▼ 1.2 California average: 3.2/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
2/5 ▼ 1.5 California average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
3/5 ▼ 1.3 California average: 4.3/5

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to California state averages

Total nursing care / resident Info This home is ranked 97th out of 294 homes in California.

Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 22m per day
Rank #97 / 294Nurse hours — state benchmarkedThis home is ranked 97th out of 294 homes in California.Shows adjusted nurse hours per resident per day benchmarked to the California average, with a ranking across 294 California SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
This facility California avg (4h 23m per day)
vs California avg
+0%
Staff typeHours / dayvs state avg
Total Nursing (Weekend) Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 55m per day

Capacity and availability

This home usually has limited availability

Occupancy between 85% and 95% suggests balanced demand.

Higher occupancy than the California average: 84.7%
Occupancy rate 90.9% Rank #89 / 301Occupancy rate — state benchmarkedThis home is ranked 89th out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay 87 days
Occupancy rate
90.9% Rank #89 / 301Occupancy rate — state benchmarkedThis home is ranked 89th out of 301 homes in California.Shows this facility's occupancy rate versus the California average, with its statewide rank out of 301. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
87 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

18% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

24% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

58% of new residents, often for long-term daily care.

Typical stay 4 - 5 months

Finances and operations

Privately-owned community
Home revenue
$6.6M
Profit
$2.8M
Privately-owned community
Home revenue
$6.6M Rank #262 / 299Revenue — state benchmarkedThis home is ranked 262nd out of 299 homes in California.Shows this facility's annual revenue compared to the California SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$2.8M
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #274 / 299Payroll — state benchmarkedThis home is ranked 274th out of 299 homes in California.Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.8M
42.3% of revenue Rank #146 / 299Payroll % — state benchmarkedThis home is ranked 146th out of 299 homes in California.Shows payroll as a percentage of revenue versus the California average. Well-run SNFs often land around 55–65%. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$979.9K
Total costs $3.8M
Walk Score
Walk Score: 37 / 100 Rank #212 / 243Walk Score — state benchmarkedThis home is ranked 212th out of 243 homes in California.Shows how walkable this facility's neighborhood is compared to the average Walk Score across California SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Details

Status2009-11-19t00:00:00z
CMS Certification Number555920

What does this home offer?

Pets allowed icon
Pets allowed icon

Pets Allowed: Yes, Pets Allowed

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Types of Care at Evergreen Life Care Homes

Assisted Living Nursing Home

Contact Evergreen Life Care Homes

Health Inspection History

Inspections
Total health inspections 11

California average 12.5


Last Health inspection on Jul 2025

Total health citations
33 Rank #132 / 298Health citations — state benchmarkedThis home is ranked 132nd out of 298 homes in California.Shows this facility's total health deficiency citations benchmarked to the California state average, with a ranking across all 298 CA SNFs. Lower citation counts earn a better rank.

California average 50.2

Citations per inspection
3

California average 4.65


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 33 citations resulted from standard inspections; and 14 of 33 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info
0 Rank #81 / 147Severe citations — state benchmarkedThis home is ranked 81st out of 147 homes in California.Shows citations where actual resident harm occurred, compared to the California average and ranked across 147 SNFs statewide. Even a single severe citation is significant — lower is always better.
100% better than California average

California average: 0.4


Serious Health citations More info 2
100% worse than California average

California average: 1

0 critical citations More info California average: 0.4

2 serious citations More info California average: 1

29 moderate citations More info California average: 47.2

2 minor citations More info California average: 1.5
Citations history (last 3 years)
Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jul 09, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Jun 17, 2025
Corrected

Nursing Services moderate citation Info Issues related to the availability and quality of nursing staff and the care they provide. Mar 11, 2025
Corrected

Quality of Care serious citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 11, 2025
Corrected

Compare Assisted Living around Fresno The information below is reported by the California Department of Social Services and Department of Public Health.

Filter by care type
The Grove Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Fresno130Yes 58 230- 58.5% ---
Kingston Bay Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Fresno128No 17 524149 71.1% -Fresno Sr. Housing Ptrs; Agemark Mgmt Llc-
Evergreen Life Care Homes
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Fresno (Roosevelt)49Yes 37 000- 90.9% A+--
Calimyrna Assisted Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fresno6No 58 4147 50.0% A+Aurora Senior Residential Care LlcSuite / Private Rooms
Evergreen Court
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Fresno6No 49 2292 100.0% -Evergreen Life Care Homes Inc.Private Rooms

Financial Assistance for
Assisted Living in California

Get Financial aid guidance

Multipurpose Senior Services Program

MSSP (Medi-Cal Waiver)

Age 65+
General California resident, Medi-Cal eligible, nursing home risk.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
CA

County-managed; waitlists possible.

Benefits
In-home support (4-6 hours/day) Respite care (14 days/year) Meals (~$6/meal) Transportation (8 trips/month) Care management

In-Home Supportive Services (IHSS)

California IHSS

Age 65+
General California resident, Medicaid-eligible or low-income.
Income Limits ~$1,732/month individual, Medi-Cal threshold
Asset Limits $2,000 individual
CA

Can hire family as caregivers.

Benefits
Personal care (up to 283 hours/month) Homemaker services Respite (varies)

Multipurpose Senior Services Program (MSSP)

CA MSSP

Age 65+
General California resident, Medi-Cal-eligible, nursing home-eligible but community-capable.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 38 counties; waitlists common.

Benefits
Case management Respite care (up to 10 days/year) Minor home mods (avg. $500) Adult day care (~$50/day)

Property Tax Postponement Program (PTP)

CA PTP

Age 62+
General California resident, own and live in home, 40% equity.
Income Limits (2025) ~$51,500/year household, adjusted annually
Asset Limits Equity-based; no strict asset cap.
CA

Deferred taxes accrue interest (5% as of 2024); repaid upon sale/death.

Benefits
Property tax deferral (avg. $1,000-$3,000/year, varies by county)

Assisted Living Waiver (ALW)

CA ALW

Age 65+ or disabled
General California resident, Medi-Cal-eligible, nursing home-eligible.
Income Limits ~$2,829/month 300% FBR, individual
Asset Limits $2,000 individual
CA

Available in 15 counties (e.g., LA, Sacramento); waitlists common.

Benefits
Personal care in ALFs (5-7 hours/day) Medication management Social services

California CARES Program

CA CARES

Age
General Caregivers of California residents 60+ needing help with 3+ daily activities; no caregiver age limit.
Income Limits No strict limit; cost-sharing above ~$2,500/month threshold.
Asset Limits Not applicable; need-based.
CA

High demand in urban areas; complements IHSS respite.

Benefits
Respite care (up to 10 days/year) Counseling (4-6 sessions/year) Training (2-3 workshops/year) Supplies (~$200/year)

Low-Income Home Energy Assistance Program (LIHEAP)

CA LIHEAP

Age 60+ priority
General California resident, low-income, utility/heating need.
Income Limits (2025) ~$2,510/month 200% of poverty level, individual
Asset Limits Not applicable; income-focused.
CA

High demand in inland/coastal extremes; weatherization capped at $5,000/home.

Benefits
Utility payments (avg. $500-$1,000/year) Weatherization (e.g., insulation, avg. $1,000-$3,000 savings)

Places of interest near Evergreen Life Care Homes

Address 5.9 miles from city center Info Estimated distance in miles from Fresno's city center to Evergreen Life Care Homes's address, calculated via Google Maps. — 3.8 miles to nearest hospital (Inspire Health Medical Group - Dermatology)

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 107
Employees 102
Contractors 5
Staff to resident ratio 2.06:1
2057592% better than California average

California average ratio: 0.00:1

Avg staff/day 37
Average shift 6.8 hours
12% worse than California average

California average: 7.7 hours

Total staff hours (quarter) 23,050
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.1 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 42
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0.5%

116 contractor hours this quarter

Occupational Therapy Aide: 1 Physical Therapy Assistant: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant4204211,16091100%7.2
Licensed Practical Nurse190194,92191100%7.7
Dental Services Staff4042,0847178%8.1
Registered Nurse8081,2648695%7.1
Speech Language Pathologist2027166673%5.9
Qualified Activities Professional5055908492%6.5
Nurse Practitioner1015046369%8
Physical Therapy Aide6063886673%4.5
Dietitian1013835358%7.2
Respiratory Therapy Technician5053506571%3
Administrator1012365965%4
Occupational Therapy Aide3141833538%4.4
Physical Therapy Assistant4151805156%3
Medical Director011421213%3.5
Occupational Therapy Assistant01139910%4.3
Qualified Social Worker1121144%2.7
42 Certified Nursing Assistant
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
4 Dental Services Staff
% of Days 78%
8 Registered Nurse
% of Days 95%
2 Speech Language Pathologist
% of Days 73%
5 Qualified Activities Professional
% of Days 92%
1 Nurse Practitioner
% of Days 69%
6 Physical Therapy Aide
% of Days 73%
1 Dietitian
% of Days 58%
5 Respiratory Therapy Technician
% of Days 71%
1 Administrator
% of Days 65%
4 Occupational Therapy Aide
% of Days 38%
5 Physical Therapy Assistant
% of Days 56%
1 Medical Director
% of Days 13%
1 Occupational Therapy Assistant
% of Days 10%
2 Qualified Social Worker
% of Days 4%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 52
Medicare
6
11.5% of residents
Medicaid
40
76.9% of residents
Private pay or other
6
11.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.0
10% better than California average

California average: 6.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.0
24% worse than California average

California average: 11.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.0%
26% worse than California average

California average: 11.1%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 8.4%
30% better than California average

California average: 12.0%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.7%
75% worse than California average

California average: 11.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.7%
57% better than California average

California average: 1.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.3%
7% worse than California average

California average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.6%
25% worse than California average

California average: 1.2%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.6%
61% better than California average

California average: 4.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 6.0%
11% better than California average

California average: 6.7%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 18.0%
79% worse than California average

California average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.3%
In line with California average

California average: 98.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with California average

California average: 98.2%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
In line with California average

California average: 94.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.9%
30% worse than California average

California average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.7%
In line with California average

California average: 93.2%

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

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